Sylvia Fogel MD
@FogelSylvia
Open debate is an antidote to systemic bias & conflicts. All views personal w/ no connection to affiliation/employer.
"Even using objective measurement of disability and dysfunction, autism rates have clearly soared over the past three decades." nytimes.com/2025/07/09/opi… From @JillEscher Speaking truth.
Not quite sure how those touting "better diagnosis" will spin this.......it's not just autism.
🧵 US children's health has worsened from 2007 to 2023 across various indicators, including mortality, chronic conditions, and mental health. ja.ma/3GlfFs0
Skeptical take on the new JAMA review in @australiandr: bit.ly/4kJNelE “By drawing global conclusions from short-term trials, this study distorts the reality of withdrawal, downplays the real challenges faced by patients and is likely to perpetuate further harm,”
Thank you Commissioner Makary and Dr. Hoeg for inviting me to participate in this upcoming panel on SSRIs & Pregnancy. I look forward to the discussion.
Please join us July 21 for the FDA Expert Panel on Selective Serotonin Reuptake Inhibitors (SSRIs) and Pregnancy. Register here: fda.gov/patients/fda-e…
If serotonin plays a crucial role in fetal brain development (which it does) & if antidepressants disrupt the serotonin system (which many do) then they must alter fetal brain development. This new study shows this. The exposed rats were affected🧵 link.springer.com/article/10.100…
People have been reasonably asking are there any high-quality studies of wirthdrawal from longer term use. Rosenbaum (1998) is very well conducted. It was ‘included’ in the Kalfas review but not in the main analysis. It meets criteria to do so.(1/n)
Running may treat depression as effectively (or better) than common antidepressant medications Studies directly comparing running to SSRIs show that running often matches or surpasses medication effectiveness, especially for those with high inflammation (measured by biomarkers…
🧵Antidepressant withdrawal—why do researchers keep downplaying it? blog.maryannedemasi.com/p/antidepressa… A new study claims antidepressant withdrawal symptoms are mild and short-lived. But for many, the suffering is real—and long-lasting. @LauraDelano @coopercdavis
New Scientist includes critique by @markhoro and myself of this flawed study irresponsibly minimising antidepressant withdrawal effects @joannamoncrieff @BeyondPillsAPPG @Institute_PDW @Mad_In_America share.google/VxmgSQlu7vFcVi…
I've seen psychiatric drug withdrawal again & again in my years of practice. You can take fairly easy steps to try & prevent severe w/d symptoms if you are aware of the risk & take measures to taper very slowly. A lot of suffering can be averted with a little extra care (&…
Dangerously misleading garbage in, garbage out review in JAMA Psychiatry by authors on drug industry payroll claims antidepressant withdrawal is not a problem. bit.ly/4lQSUeH.
The new review of antidepressant withdrawal has some merits: in trials using systematic measurement, it shows SSRIs and SNRIs cause withdrawal symptoms even after a few weeks of use. Agomelatine doesn’t (this is already recognised) 1/n jamanetwork.com/journals/jamap…
In the main analysis of 11 RCTs, the longest study went for 26 weeks. It looked at agomelatine which no one thinks has significant withdrawal. The other 10 studies went for 10-12 weeks (no mention in study itself). Authors called for update of guidance for ALL users. Shocking
The highest quality study was longer term, and findings were similar to those of the shorter term studies.
'Studying what happens to people after just eight to 12 weeks on antidepressants is like testing car safety by crashing a vehicle into a wall at 5km/h – ignoring the fact that real drivers are out on the roads doing 60km/h' theconversation.com/antidepressant…
"Notably, approximately 20% of children in the non-ASD group received an ASD diagnosis at follow-up" pubmed.ncbi.nlm.nih.gov/40622598/ Could mean (a) ICD-11 "symptoms may not become fully manifest until later, when social demands exceed limited capacities" or (b) late onset acquired autism
The nature paper just released shows much. Let’s first say that they unequivocally showed that sunlight does not stop at your skin but affects tissue right through you to the other side of your body. This is regardless of the clothes you are wearing. Second is that the…
The review by Kalfas on antidepressant withdrawal in JAMA Psychiatry will mislead as it is based largely on people who have taken antidepressants for 8-12 weeks in 11 RCTs-this will under-estimate the risks for millions of long-term users. bit.ly/4eFrZzO Thread (1/n)
I told you (as well as many others). MedCram video to follow shortly. (Of course this is big news).
Fascinating discovery: Near-infrared light (830 - 860nm) improves eye function *even when the eyes themselves are completely blocked from exposure*. We've long known about systemic effects of red light therapy, but this ability to improve distal tissue function is a novel…
"For decades, autism researchers and clinicians have been seeking robust definitions of autism subtypes to aid in diagnosis and care..." medicalxpress.com/news/2025-07-m… Music to my plural autisms ears...
AstraZeneca committed fraud in its trial reports of its blockbuster anti-clotting drug, ticagrelor, in New England Journal of Medicine and Circulation. bit.ly/4liO8GW. @brokenmedics, @SecKennedy, @martinkulldorff, @DrJBhattacharya, @MartyMakary, @cdcgov, @WHO, @NIH
New JAMA article paints a dark picture re the health of babies & adolescence in the US compared to other 18 developed countries (OCED18)! Higher rates of mortality & chronic conditions! Concerning multiyear trends that worsened during 2021-2023! Radically different public…